2018年河北省新乐市8～10岁儿童家中食用盐碘含量及其尿碘监测结果分析报告
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摘要
目的掌握新乐市8～10岁儿童碘营养状况,为进一步加强碘缺乏病防治提供科学依据。方法根据新乐市碘缺乏病监测方案,东、西、南、北、中5个方位随机抽取5所小学,对8～10岁儿童家中食用盐碘含量及其尿碘进行监测,同时进行碘盐使用方法问卷调查。结果 2018年采集8～10岁儿童家庭盐样200份,其中非碘盐5份,不合格碘盐8份,碘盐覆盖率97. 50%(195/200),碘盐合格率95. 90%(187/195),合格碘盐食用率93. 50%(187/200)。采集8～10岁儿童尿样200份,尿碘中位数159. 5μg/L,尿碘水平低于50μg/L的12份,比例为6. 00%。碘盐的正确贮存和食用方法知晓率在80%以上。结论新乐市碘缺乏病防治效果明显,但仍然存在非碘盐流通和碘盐使用方法不当的问题,应继续加强健康教育和健康促进等综合干预,提高目标人群和行为人的健康意识。
Objective To master the iodine nutritional status of children aged 8 ～ 10 years in Xinle City,so as to provide scientific basis for further strengthening the prevention and treatment of iodine deficiency disorders. Methods According to the monitoring program of iodine deficiency disease in Xinle City,5 primary schools were randomly selected from the east,west,south,north and middle directions. The iodine content and urinary iodine of the edible salt in children aged 8 ～ 10 years were monitored. At the same time,the questionnaire on the use of iodized salt was conducted. Results In 2018,200 samples of children aged 8 ～ 10 years old were collected,including 5 non-iodized salts,8 unqualified iodized salts. The coverage rate of iodized salt was 97. 50%( 195/200). The qualified rate of iodized salt was 95. 90%( 187/195),and the qualified rate of iodized salt consumption was 93. 50%( 187/200). 200 urine samples of children aged 8 ～ 10 were collected. The median urinary iodine level was 159. 5 μg/L,and 12 urinary iodine levels were lower than 50 μg/L,accounting for 6. 00%. The awareness rate of correct storage and eating methods of iodized salt is over 80%. Conclusion The prevention and treatment of iodine deficiency disorders in Xinle City is effective,but there are still some problems in the circulation of non-iodized salt and improper use of iodized salt. Comprehensive interventions such as health education and health promotion should be continued to improve the health awareness of target population and behavior.
Objective To master the iodine nutritional status of children aged 8 ～ 10 years in Xinle City,so as to provide scientific basis for further strengthening the prevention and treatment of iodine deficiency disorders. Methods According to the monitoring program of iodine deficiency disease in Xinle City,5 primary schools were randomly selected from the east,west,south,north and middle directions. The iodine content and urinary iodine of the edible salt in children aged 8 ～ 10 years were monitored. At the same time,the questionnaire on the use of iodized salt was conducted. Results In 2018,200 samples of children aged 8 ～ 10 years old were collected,including 5 non-iodized salts,8 unqualified iodized salts. The coverage rate of iodized salt was 97. 50%( 195/200). The qualified rate of iodized salt was 95. 90%( 187/195),and the qualified rate of iodized salt consumption was 93. 50%( 187/200). 200 urine samples of children aged 8 ～ 10 were collected. The median urinary iodine level was 159. 5 μg/L,and 12 urinary iodine levels were lower than 50 μg/L,accounting for 6. 00%. The awareness rate of correct storage and eating methods of iodized salt is over 80%. Conclusion The prevention and treatment of iodine deficiency disorders in Xinle City is effective,but there are still some problems in the circulation of non-iodized salt and improper use of iodized salt. Comprehensive interventions such as health education and health promotion should be continued to improve the health awareness of target population and behavior.
引文
[1]中华人民共和国国家质量监督检验检疫总局,中国国家标准化管理委员会. GB/T 13025. 7-2012制盐工业通用试验方法碘的测定[S].北京:中国标准出版社,2012.
[2]中华人民共和国卫生部. GB/T 107-2006尿中碘的砷鈰催化分光光度测定方法[S].北京:中国标准出版社,2006.
[3]中华人民共和国卫生部. GB/T 26878-2011食用盐碘含量[S].北京:中国标准出版社,2011.
[4]张春雨,李壮.测定尿碘的几个常见问题的讨论与建议[C]//中华医学会.第一届全国公共卫生学术会议论文集,北京,2009:268-269.
[5]谭璇,刘军,曹庆云,等. 2012年衡阳市居民户碘盐监测结果分析[J].当代医学,2013,19(6):154-156.
[6]中华人民共和国卫生部,国家标准化管理委员会. GB 16006-2008碘缺乏病消除标准[S].北京:中国标准出版社,2008.
[7]肖邦中,陈静,吴成果,等.全民食盐加碘后碘缺乏病变化特征与影响因素[J].热带医学杂志,2011,11(10):1180-1183.
[8]甜景琦,单水阳,朱林春.绍兴地区甲状腺结节性疾病的尿碘检测与分析[J].中国实验诊断学,2005,19(5):694-695.
[9]郎鸣晓,屈同钧,卢醒,等.天津市高校大学生碘营养状况调查[J].环境与健康杂志,2012,29(9):816-818.
[10]赵薛飞,董红军,张劼楠,等.宁波市居民碘营养状况调查[J].浙江预防医学,2013,25(9):21-24.
[11]毛光明,丁钢强,楼晓明,等. 2009-2011年浙江省人群尿碘水平及影响因素分析[J]中华预防医学杂志,2013,47(1):8-13.
[12]邵洁,张轩,杨坚波.食盐碘含量调整前后无锡市8~10周岁儿童碘营养状况比较[J].中国妇幼保健,2015,33(20):3867-3869.
[2]中华人民共和国卫生部. GB/T 107-2006尿中碘的砷鈰催化分光光度测定方法[S].北京:中国标准出版社,2006.
[3]中华人民共和国卫生部. GB/T 26878-2011食用盐碘含量[S].北京:中国标准出版社,2011.
[4]张春雨,李壮.测定尿碘的几个常见问题的讨论与建议[C]//中华医学会.第一届全国公共卫生学术会议论文集,北京,2009:268-269.
[5]谭璇,刘军,曹庆云,等. 2012年衡阳市居民户碘盐监测结果分析[J].当代医学,2013,19(6):154-156.
[6]中华人民共和国卫生部,国家标准化管理委员会. GB 16006-2008碘缺乏病消除标准[S].北京:中国标准出版社,2008.
[7]肖邦中,陈静,吴成果,等.全民食盐加碘后碘缺乏病变化特征与影响因素[J].热带医学杂志,2011,11(10):1180-1183.
[8]甜景琦,单水阳,朱林春.绍兴地区甲状腺结节性疾病的尿碘检测与分析[J].中国实验诊断学,2005,19(5):694-695.
[9]郎鸣晓,屈同钧,卢醒,等.天津市高校大学生碘营养状况调查[J].环境与健康杂志,2012,29(9):816-818.
[10]赵薛飞,董红军,张劼楠,等.宁波市居民碘营养状况调查[J].浙江预防医学,2013,25(9):21-24.
[11]毛光明,丁钢强,楼晓明,等. 2009-2011年浙江省人群尿碘水平及影响因素分析[J]中华预防医学杂志,2013,47(1):8-13.
[12]邵洁,张轩,杨坚波.食盐碘含量调整前后无锡市8~10周岁儿童碘营养状况比较[J].中国妇幼保健,2015,33(20):3867-3869.